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HomeMy WebLinkAbout03-12-09Pa. O.C. Rule 6.1 Z STaTti S REPORT REGISTER OF ~'~'ILLS OF Cumberland COL'\TY. PF'~\S~'I_~":'~'~1,4 Namo of Decedent. Edward P. Donn Date of Death: 1 I%"13%2007 File Number: 21-07-1063 Pursuant to Pa. O.C. Rule 6.12, I report the following ~~~~ith respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estatc.is complete :.................... ^ Yes ^ No ?. if the answer is No, state when the personal rcpresentativc reasonably believes that the; administration will be complete: 3. If the answer to No. 1 is YES. state the following: a. Did the personal rcpresentativc file a final account with the Court? ....... ^Ycs /^ No b. The separate Orphans" Court No. (if any) for the personal representative's account is: c. Did the personal rcpresentativc state an account informally to the parties in interest`? ............................... ©/ Ycs ©No d. Copies of receipts, releases, joinders and appro.°als of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may,,k~e at"~taehc~'yto this report. >,:,,~ 3 % l 1 %2008 r` tip '== C'-- F~-- Cs7 C _ __ _ ~. „ .. ~~ ~_ -- - - - cv r ,- ~ - i _ ~~ , _ r . _ ,~; ~ :~z~ - U ° • ~~_ <~:~ l~in~m K11-10 r~~r. IO I ~ lJ~i Si,,r~,t.uc~,j/'~°csrort~h~ili,?LE~thi~1-orU> >-'"-~'``~"'"--- ~" CaE~acity: ^Pcrsonal R~p,-cscntati~c ©Counscl E. Ralph Godfrey G,rnu~ uJ /'~.rcun /-~Ilrn~~ !his Form I O L l Monona Road, Suite 20l ,~,r,~, «,., Lemoyne, PA 1703 717.975.9600 Approval of Account, Release and Indemnification THE undersigned is one of the surviving issue and beneficiaries provided for in 20 Pa.C.S.A. §2103 for the Estate of Edward P. Denney, and desires that the estate be distributed without the formality of a court accounting. THE Administrator of the Estate is willing to consent to such distribution upon receipt of a proper release and indemnification, which it is the purpose of this document to provide. In consideration of the willingness of the Administrator to distribute and terminate the Estate in accordance with the terms of the 20 Pa.C.S.A. §2103 without the protection afforded her by a formal adjudication of his account, the undersigned beneficiary does hereby: 1. Acknowledge that I am familiar with the provisions of 20 Pa.C.S.A. §2103, which a copy is attached hereto as Exhibit "A"; 2. Waive the filing of a formal account of the administration of this estate; 3. Declare that I have examined the First and Final Account of the administration of this estate and approve it with the same force and effect as if it had been prepared and duly filed with, audited and adjudicated by the Orphans Court. 4. Absolutely and irrevocably release and discharge the Administrator and the legal counsel for the Estate from any and all actions, suits, payments, accounts, reckonings, claims and demands whatsoever, for or by reason thereof; 5. Agree to refund to the Administrator such part or all of the distributive share which at any time may be determined to have been an erroneous distribution, regardless of the cause of such error; 6. Agree to indemnify and hold harmless the Administrator and legal counsel from any liability, loss or expense, arising from any cause whatsoever, which may be incurred by the Administrator as a result of the administration of this estate or distribution in accordance with this agreement including, but not limited to, any liability for any federal estate tax, Pennsylvania inheritance tax or any other taxes relating in any way to the estate; 7. Agree that this agreement shall be governed by the laws of the Commonwealth of Pennsylvania. IN WIT1~%ESS WHEREOF, t have hereunto set my hand and seal the ~ day of November, 2008. Witness: ,~ /~ _ STATE, OF NF,W JERSEY COUNTY OF U ~ ~ ~ i ~G~~ ~~- Mary Elle hrsam SS G ~ On this, the ~ day of ~/ V b ~t~i~'t,- 2008, before me, the undersigned officer, personally appeared Mary Ellen Ehrsam, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that she executed the same for the purposes therein contained. In witness wherenf~ t herenntc~ set my hand and official seal: /~ / - • j' Notary Puhlic 10EAL AUMAN Motary Public of New Jersey IO #2165766 Commission Expires Mar 25, 2009 Approval of Account, Release and Indemni rcation ,THE undersigned is one of the surviving issue and beneficiaries provided for in 20 Pa.C.S.A. §2103 for the Estate of Edward P. Denney, and desires that the estate be distributed without the formality of a court accounting. THE Administrator of the Estate is willing to consent to such distribution upon receipt of a proper release and indemnification, which it is the purpose of this document to provide. In consideration of the willingness of the Administrator to distribute and terminate the Estate in accordance with the terms of the 20 Pa.C.S.A. §2103 without the protection afforded her by a formal adjudication of his account, the undersigned beneficiary does hereby: 1. Acknowledge that I am familiar with the provisions of 20 Pa.C.S.A. §2103, which a copy is attached hereto as Exhibit "A"; 2. Waive the filing of a formal account of the administration of this estate; 3. Declare that I have examined the First and Final Account of the administration of this estate and approve it with the same force and effect as if it had been prepared and duly filed with, audited and adjudicated by the Orphans Court. 4. Absolutely and irrevocably release and discharge the Administrator and the legal counsel for the Estate from any and all actions, suits, payments, accounts, reckonings, claims and demands whatsoever, for or by reason thereof; 5. Agree to refund to the Administrator such part or all of the distributive share which at any time may be determined to have been an erroneous distribution, regardless of the cause of such error; 6. Agree to indemnify and hold harmless the Administrator and legal counsel from any liability, loss or expense, arising from any cause whatsoever, which may be incurred by the Administratar as a result of the administration of this estate or distribution in accordance with this agreement including, but not limited to, any liability for any federal estate tax, Pennsylvania inheritance tax or any other taxes relating in any way to the estate; 7. Agree that this agreement shall be governed by the Laws of the Commonwealth of Pennsylvania. IN WITNESS WHEREDF, I have hereunto set my hand and seal the ~? day of~~er, 2008. Witness: /~~~_ i~~ - - --~ STATE OF NEW JERSEY COUNTY OF ~~ . ~'" o ~f ~' ~ ~- (SEAL) Christo her M. Denney SS On this, the ~ day of u~++~c! 2008, before me, the undersigned officer, personally appeared Christopher M. Denney, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that she executed the same for the purposes therein contained. In witness whereof, I hereunto set my hand and official ~ al. - lA 11i ~' .__ - ~ ~'~ (SEAL) Notary Pu ic„ ~ `i~ ~i ll- lf,~' ~'~' x~,~~ ~'1ew V~~~~--_-- ., ~,